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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004535
Report Date: 04/21/2026
Date Signed: 04/21/2026 11:58:41 AM

Document Has Been Signed on 04/21/2026 11:58 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:JEFFEL, ISABELFACILITY NUMBER:
414004535
ADMINISTRATOR/
DIRECTOR:		JEFFEL, ISABELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 201-2496
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
04/21/2026
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:57 AM
MET WITH:Licensee, Isable JeffelTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On April 21, 2026, at approximately 9:00AM, Licensing Program Analyst (LPA) Alvarado conducted an unannounced Plan of Correction (POC) visit at the facility along with a Case Management for a Room Addition. LPA met with License Isabel Jeffel (L1) and explained the purpose of the visit. Present during the visit was (L1) and assistant supervising 7 children (3 Infants and 4 Preschoolers). The facility license is a large license and is operating within capacity limits and ratio during today’s inspection. (L1) was reminded that if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in 102416.5 Staffing Ratio and Capacity. Everyone in the household has fingerprint clearance and is associated to the facility during today’s inspection.

During the Annual Inspection that was conducted on April 8th, 2026 the facility received two Type B citations regarding Administration of Child Day Care Licensing and Alterations to Existing Building or Grounds. Which were in regard to using a space that was off limits and fingerprints for an individual who does not reside in the home. During today’s Inspection, LPA conducted children record review for the two children who were not present during the last inspection. LPA also conducted Personnel Record review for assistant of (L1) where file was observed to be complete. LPA also received a written statement that was signed and dated by (L1) confirming that the individual who does not have criminal record clearance does not reside in the home and is not present during operating hours. (L1) was reminded that all individuals prior to being present in a licensed family child care home must have fingerprint clearance prior to being present.

(L1) is adding Bedroom 1 as Part of the Family Child Care Home. Per (L1) Bedroom 1 will be utilized as a Passthrough for children to have access to go to the back deck, which is the outdoor play area. Will also be used for an additional designated Napping space. The department received updated Fire Clearance for the facility that was received and granted as April 16, 2026.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: JEFFEL, ISABEL
FACILITY NUMBER: 414004535
VISIT DATE: 04/21/2026
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The daycare Areas: operate in the central areas in the home including the living/family room, bathroom, kitchen (which is child proof), the backyard Deck and the side walkway of the left side of the home (Connects to outdoor deck).

The off limit areas: Bedroom 1(Pass through only to backyard) and Bedroom 2, Garage, office space in the garage, front yard and the Backyard that is currently split into two as the second portion towards the back has some construction going on.

LPA observed that off limit areas were properly barricaded and made inaccessible to the children in care. LPA reminded (L1) that off limit spaces must always be made inaccessible to children with child locks making it inaccessible. LPA observed home to be clean and in good repair. There are a variety of age-appropriate toys and equipment in the home which are in good condition. LPA suggested to (L1) to add additional padding to the outer side of the indoor play equipment located in the living room, as it has cushioned rug portion on the left side and not covered on the right side of the equipment. As of today April 21, 2026 bedroom 1 has been added and approved as part of the day care area of the family child care home. Newly approved areas of the home will include as follows:

The daycare Areas: operate in the central areas in the home including the living/family room, bathroom, kitchen (which is child proof), Bedroom 1, the backyard Deck and side walkway on the left side of the home (Connects to outdoor deck).

The off limit areas: Bedroom 2, Garage, office space in the garage, front yard and the Backyard that is currently split into two as the second portion towards the back has some construction going on.

(L1) was reminded that prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changes. Including Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care. LPA Alvarado along with (L1) inspected the home for any health or safety hazards. Prior citations were not observed . As of today April 21, 2026, the citation issued on April 8, 2026 will be cleared. Deficiencies cited on April 8, 2026, were cleared as of today’s inspection. The Letter of Deficiency Citation Cleared was provided to the Licensee as confirmation of cleared citations.

No deficiencies were cited during today’s inspection under CCR, Title 22, Div. 12, Chapt. 1.

See Technical Advisory(TA) regarding Operation of a Family Child Care Home

Appeal Rights were provided to (L1). A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed by licensee, Isabel Jeffel
NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC809 (FAS) - (06/04)
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